Evidence map›Paper›PMID 27195180›Full record

ArticleJournal of clinical imaging science2016

Dedicated Three-dimensional Breast Computed Tomography: Lesion Characteristic Perception by Radiologists.

Cherie Marie Kuzmiak, Elodia B Cole, Donglin Zeng, Laura A Tuttle, Doreen Steed, Etta D Pisano

Abstract read
In one paragraph

Article in Journal of clinical imaging science, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Cherie Marie KuzmiakDepartment of Radiology, University of North Carolina, Chapel Hill, NC 27599-7510, USA.
Elodia B ColeDepartment of Radiology, Beth Israel Deaconess Medical Center, Boston, MA 02215, USA.
Donglin ZengDepartment of Biostatistics, University of North Carolina, Chapel Hill, NC 27599-7510, USA.
Laura A TuttleDepartment of Family Medicine, University of North Carolina, Chapel Hill, NC 27599-7510, USA.
Doreen SteedDepartment of Radiology, University of North Carolina, Chapel Hill, NC 27599-7510, USA.
Etta D PisanoDepartment of Radiology, Beth Israel Deaconess Medical Center, Boston, MA 02215, USA.

Funding

Virology Research Program (Program 4)P30CA016086 · NCI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI David Darr · 1985 to 2026
$201.5M
Development of a 3D mammotomograph with novel techniques to overcome limitationsR44CA125924 · NCI · ZUMATEK, INC. · PI MCKINLEY, RANDOLPH L · 2009 to 2010
$773k
NCI NIH HHS P30 CA016086NCI NIH HHS R44 CA125924
6 · The paper itself

Abstract

objectivesTo assess radiologist confidence in the characterization of suspicious breast lesions with a dedicated three-dimensional breast computed tomography (DBCT) system in comparison to diagnostic two-dimensional digital mammography (dxDM). MATERIALS AND

methodsTwenty women were recruited who were to undergo a breast biopsy for a Breast Imaging-Reporting and Data System (BI-RADS) 4 or 5 lesion evaluated with dxDM in this Institutional Review Board-approved study. The enrolled subjects underwent imaging of the breast(s) of concern using DBCT. Seven radiologists reviewed the cases. Each reader compared DBCT to the dxDM and was asked to specify the lesion type and BI-RADS score for each lesion and modality. They also compared lesion characteristics: Shape for masses or morphology for calcifications; and margins for masses or distribution for calcifications between the modalities using confidence scores (0-100).

resultsTwenty-four biopsied lesions were included in this study: 17 (70.8%) masses and 7 (29.2%) calcifications. Eight (33.3%) lesions were malignant, and 16 (66.7%) were benign. Across all lesions, there was no significant difference in the margin/distribution (Δ = -0.99, P = 0.84) and shape/morphology (Δ = -0.10, P = 0.98) visualization confidence scores of DBCT in relation to dxDM. However, analysis by lesion type showed a statistically significant increase in reader shape (Δ =11.34, P = 0.013) and margin (Δ =9.93, P = 0.023) visualization confidence with DBCT versus dxDM for masses and significant decrease in reader morphology (Δ = -29.95, P = 0.001) and distribution (Δ = -28.62, P = 0.002) visualization confidence for calcifications.

conclusionReader confidence in the characterization of suspicious masses is significantly improved with DBCT, but reduced for calcifications. Further study is needed to determine whether this technology can be used for breast cancer screening.

Indexed as

Breast cancercomputed tomographydiagnostic imagingmammography

Identifiers

PMID27195180
PMCPMC4860456

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.